HomeMy WebLinkAbout1508-0155 SUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING &;DEVELOPMENT SERVICES
Code Compliance Division
IV BUILDING PERNIIT
IV CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1 Z G
State of Florida Certification Number (if applicable):
612aNA 6-Z&G_1'e-1C & A /C
C
cC/300637
have agreed to be the
(Company Name/Individual Name)
E t- E c; C-.! C4 L Sub -contractor for C LA 0 )Z B v c-,e S -W C.
(Type of Trade)
For the project located at
(Primary Contractor)
L,904 sC�lig4-4-106 1)2-, F f'Tt-2.c6 , rL 3yg,?2-
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of
project, I will immediately advise the
Change of Sub -contractor notice. (Form:
BUSINESS QUALIFIER (Name of the
NOTARIZED SIGNATURES ARE REQUIR
Business Name:
Address:
City/State/Zip:
Phone:
regarding our participation with the above mentioned
and Zoning Department of St. Lucie County by filing a
(No. 004-00)
shown on the Contractor's License)
fZAA1 A E 6CCTJ2T-C 25- A / C I-n)C
/7y 5-W )t)cjr0,-1 cl-p—
Pc9-:r si
,?aZ-�'/3 - ZLG a email:
(D � /,,,
DATe
STATE OF FLORIDA, COUNTY OF 5-,,J b T.an.s Ly&'
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1 `r DAY OF i' % , 20 J d�
BY J 0 2 6 E, 6 e_.A.NA +j I L (A WHO IS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
R hl.i N A A L t/ A-24 1) v (STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
RHINA ALVMADO
;1r Notary PuWlc - Stata o1 Florida
? • •: My Comm. Expires Nov 9, 2018
Commission # FF 175065
,��' •lo��%% Bonded through National NotaryrAssn
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
Jensen Beach Plumbing
(Company Name/Individual Name)
Plumbing
(Type of Trade)
PERMIT
R AGREEMENT
11067372
Sub -contractor for De La Hoz Builders
(Primary Contractor)
have agreed to be the
For the project located at 4904 Seagrape Ft. Pierce, FL
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDv (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Jensen Beach Plumbing
Business Name: 9
Address: 1086 NE Industrial Blvd
City/State/Zip: Jensen Beach, FL 34957
Phone: 772.225.6600 email: ibplumbincg@bellsouth.net
Lonnie Culbertson
SIONATUIR PRINT NAME
STATE OF FLORIDA, COUNTY OF Martin
7/30/15
DATE
THEFOREGOINGINSTRUMENT WAS SIGNED BEFORE ME THIS Sy DAY OF Au.1ij , 20 11S
BY L (�'(� i� I �. o Ul 11QP�'lrl WHO IS PERSONALLY KNOWN _" OR HAS
PRODUCED
/A NA E OF NOTARY PUBLIC
SLCPDS:12/Ib/2013
AS IDENTIFICATION.
NAME OF NOTARY
JACLYN F MLSON
`• My COMMISSION #FF159777
�Ort
EXPIRES November 8, 2018
388ois3 Flnrirf�ti
r
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
I
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: j Z 6 G/ 0
State of Florida Certification Number (If applicable): !C A C !
G Z A ry A C-t E c r " C -Ae R JC , � c have agreed to be the
(Company Name/Individual Name)
a4 C- c N A,- s c4 C Sub -contractor for L A !-W -t 8 0 L C-0 E-e S, s u C
(Type of Trade) (Primary Contractor)
For the project located at q 9 O L{ SC -A G e_A? C J� e r f PT-C_Zc C ► -t 3 L 9.? Z
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
Cit /State/Zi :
6 z A,0 A& i_t= C T r C & A f C 1,PJ C.
/L/y sw 6A-Z_as CI-4-
POei s7 L U GT i= / FL 3 L/ Fr 3
Phone:
'ATUI&—y'
STATE OF FLORIDA, COUNTY OF 1 N T AA-3 ! -=v&�-
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS /J" DAY OF -Ju L, i , 20 / r
BY SU 2. 6& G P_A,-+ A AyCLO WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
P_ i-I T. A A ( - VA-24 0 0
PRINT NAME OF NOTARY PUBLIC
(STAMP)
RNINA ALVARA00
Notcry public. s Noa 9. rida
My Comm. Eta
' c com Isiou:0"175065
i ���5�+� 6and�dtMou�gMfanflMou!►�".
PERMIT # �D� • (� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building; & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable): i' Cs C / F/ y
c- L A ptt) z 3 c = i 3 i"; - S , c- have agreed to be the
K(Cin
panName/Individual Name)
f 0 h Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at Z1 90 V -,6g-c CA-J? (: P e- , ' oar ?2 t59- C-6
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: ) I✓ GA lq 8 U;y3 & s . Tl- 3 C
Address: ZST )rC-L n oN-E, iZ)
City/St ate/Zi S' 66-As 7-3� I � } 3 04 5"8
Phone: (�� � 2.2 Z �r ?a Z3 email: ��� �e 4 A o i -Z " `Q"'-n
PRINT NAME DATE
STATE OF F60RIDAV, NTY OF \`T 101 1
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAYY OF n 1 IGI lase- , 20 tS
J BY OSCDe La N CO Z. WHO IS PE, SONALLY KNO N OR HAS
PRODUCED
(-\� 14 4 "f- (7� o�� -
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
PRINT NAME OF NOTARY PUBLIC
(STAMP)
JENNIFER HANCE
* MY COMMISSION # EE 164430
EXPIRES: January
y�29, 2016
9�Oi nlr\® �7kuB*dN a9
f
f —
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
E; ailding and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
hC (_ 4 P-02- je U LC'D G-QS , fft3 C will be using the following sub -contractors for the
(Company/Individual Name)
project located at y 9 0 L) s E-A G 2a ?E DC , �? c�, 3 yq PZ
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
G P_4rJC—Cc-cu e C
�r213 v/3 2! 0
I
Plumbing
. C-+0CE-IJ BC-AICP "PL uf-93LNG
2-F 110 6-43-72
i
IIVAC/
Mechanical
G t_" a ec cra' r C
C4e / C-4-Ta
Roofing
b E LA-P�0�_ .Bur_0' t- _S , c
C 6 C ) 'Ff Y 1 CI
Gas
II NUMBER: I � 5 �� � � �� I ISSUE DATE: I II
Revised 07/29/2014